               JINGLE'O'MATIC 2.1 - ORDER FORM


Price:  $5 US (25FF)

To register, fill in the form below and send it with your
registration fee to :
(order your cheques to : Francois Cartegnie)
Francois Cartegnie
79 Rue C.Fourier
59220 DENAIN
FRANCE

You'll receive your unique registration number by mail or by
e-mail if you've one.
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                     JINGLE'O'MATIC 2.1


      Name: ________________________________________

    Street: ________________________________________
            
            ________________________________________

      City: ________________________________________

State/Prov: ________  Zip/Postal Code: _____________

Tel Number: ________________________________________


     e-mail address to send registration number to: 

     (only if you've one)__________________________


Where did you get JINGLE'O'MATIC?

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